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VIDANT MEDICAL GROUP LLC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
VIDANT MEDICAL GROUP LLC (EIN 38-3740839)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-14
IRS object ID
202032279349301408
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-14T08:01:47-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dixon Hughes Goodman LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1Txt
CityAshevilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383740839EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Vidant Medical Group LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIDABusinessNameControlTxt
Phone2528475129PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RdAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid S HughesPersonNm
Person TitleTreasurerPersonTitleTxt
Phone2528475129PhoneNum
Signature2020-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2020-08-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.47.28.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-14IPDt
IP Tm07:19:10IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id48FB394F9AA065459641371F168D9F2AFFFBB473AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid S HughesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RdAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$242,937,006GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.vidanthealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo provide medical services in Eastern North Carolina.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee619TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,523PYContributionsGrantsAmt
CY Contributions Grants$56,806CYContributionsGrantsAmt
PY Program Service Revenue$210,589,455PYProgramServiceRevenueAmt
CY Program Service Revenue$242,683,340CYProgramServiceRevenueAmt
PY Investment Income$28,616PYInvestmentIncomeAmt
CY Investment Income$29,449CYInvestmentIncomeAmt
PY Other Revenue$95,636PYOtherRevenueAmt
CY Other Revenue$167,411CYOtherRevenueAmt
PY Total Revenue$210,729,230PYTotalRevenueAmt
CY Total Revenue$242,937,006CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,300CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$172,199,331PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$200,097,089CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$106,401,552PYOtherExpensesAmt
CY Other Expenses$122,796,151CYOtherExpensesAmt
PY Total Expenses$278,600,883PYTotalExpensesAmt
CY Total Expenses$322,895,540CYTotalExpensesAmt
PY Revenues Less Expenses-$67,871,653PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$79,958,534CYRevenuesLessExpensesAmt
Total Assets BOY$46,341,159TotalAssetsBOYAmt
Total Assets EOY$44,945,042TotalAssetsEOYAmt
Total Liabilities BOY$36,189,213TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,550,954TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,151,946NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,394,088NetAssetsOrFundBalancesEOYAmt
MissionTo enhance the quality of life for the people and communities we serve, touch and support.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$307,720,908ExpenseAmt
Grant$2,300GrantAmt
Revenue$242,850,751RevenueAmt
DescVidant Health professionals provided evaluations, clinical care management and medically necessary procedures.Desc
Total Program Service Expenses$307,720,908TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee619EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brian DunnBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2528477479PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 Stantonsburg RdAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27835ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Waldrum MD
CEO2.0050.00Yes (X)Yes (X)$0$1,155,199$218,911
Jay Briley
President Of VCom2.0046.00Yes (X)$0$313,931$111,700
David Hughes
Treasurer2.0050.00Yes (X)Yes (X)$0$524,535$1,471,416
William Floyd
President Of VMC2.0042.00Yes (X)$0$532,328$446,999
Anthony Bartholomew
VP, of Operations40.00Yes (X)$219,397$0$46,042
Daniel Drake PHD
President of VMG40.002.00Yes (X)$252,366$0$149,417
Manjunath Markandaya
Physician40.00$1,153,081$0$33,145Yes (X)
Richard Dalyai
Physician40.00$1,094,720$0$37,045Yes (X)
Aaron Danison
Physician40.00$1,029,749$0$32,570Yes (X)
Hilal Kanaan
Physician40.00$974,299$0$40,880Yes (X)
Kenneth Lee
Physician40.00$889,957$0$34,540Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,613,569TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,525,993TotReportableCompRltdOrgAmt
Total Other Compensation$2,622,665TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K464IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECU School of Medicine
PO Box 75514CharlotteNC282750514Physician Services$10,297,286
Hayes Locums LLC
6700 North Andrews Ave Suite 600Ft LauderdaleFL33309Physician Services$2,157,989
Bunn Medical Associates
606 Ashburton DriveGreenvilleNC27858Physician Services$2,039,078
Weatherby Locums Inc
PO Box 972633DallasTX753972633Physician Services$1,645,511
Center for Neuropsychiatric Services PA
12417 Moriah WayRaleighNC27614Physician Services$1,189,562
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K58CntrctRcvdGreaterThan100KCnt
All Other Contributions$56,806AllOtherContributionsAmt
Total Contributions$56,806TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services621110$184,325,487$184,325,487
Contract Management Fees621110$58,357,853$58,357,853
FieldValueIRS element (for citing)
Total Program Service Revenue$242,683,340TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,504TotalRevenueColumnAmt
Exclusion$27,504ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$167,411RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$167,411RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$167,411TotalRevenueColumnAmt
Related Or Exempt Func Income$167,411RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,945OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,945OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,945TotalRevenueColumnAmt
Exclusion$1,945ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$242,937,006TotalRevenueColumnAmt
Related Or Exempt Func Income$242,850,751RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$29,449ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,300TotalAmt
Program Services$2,300ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$471,763TotalAmt
Management And General$471,763ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$175,467,500TotalAmt
Program Services$168,444,250ProgramServicesAmt
Management And General$7,023,250ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,645,420TotalAmt
Program Services$3,490,125ProgramServicesAmt
Management And General$155,295ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,386,016TotalAmt
Program Services$10,900,972ProgramServicesAmt
Management And General$485,044ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,126,390TotalAmt
Program Services$8,737,606ProgramServicesAmt
Management And General$388,784ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$66,879TotalAmt
Program Services$64,030ProgramServicesAmt
Management And General$2,849ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,646TotalAmt
Program Services$41,787ProgramServicesAmt
Management And General$1,859ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,354,676TotalAmt
Program Services$55,868,767ProgramServicesAmt
Management And General$2,485,909ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$699,043TotalAmt
Program Services$669,264ProgramServicesAmt
Management And General$29,779ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,043,331TotalAmt
Program Services$998,885ProgramServicesAmt
Management And General$44,446ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$302,113TotalAmt
Program Services$289,243ProgramServicesAmt
Management And General$12,870ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,574,106TotalAmt
Program Services$7,251,449ProgramServicesAmt
Management And General$322,657ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$768,356TotalAmt
Program Services$499,431ProgramServicesAmt
Management And General$268,925ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,229,390TotalAmt
Program Services$2,134,418ProgramServicesAmt
Management And General$94,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,611,105TotalAmt
Program Services$2,074,997ProgramServicesAmt
Management And General$2,536,108ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$27,147,607$27,147,607
Medical Supplies$18,925,769$18,119,531$806,238
Other expenses$1,030,130$986,246$43,884

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$322,895,540TotalAmt
Program Services$307,720,908ProgramServicesAmt
Management And General$15,174,632ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,184,295BOYAmt
EOY$5,500,630EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,924,119BOYAmt
EOY$14,601,866EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$285,855BOYAmt
EOY$144,926EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,746,451BOYAmt
EOY$2,047,555EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$875,970BOYAmt
EOY$945,047EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,759,055LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,975,733LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,276,643BOYAmt
EOY$17,783,322EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$12,046BOYAmt
EOY$12,046EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,035,780BOYAmt
EOY$3,909,650EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,341,159BOYAmt
EOY$44,945,042EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,090,919BOYAmt
EOY$32,437,529EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,098,294BOYAmt
EOY$4,113,425EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,189,213BOYAmt
EOY$36,550,954EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,151,946BOYAmt
EOY$8,394,088EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,151,946BOYAmt
EOY$8,394,088EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,341,159BOYAmt
EOY$44,945,042EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$79,958,534ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$78,200,676OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$15,523CurrentTaxYearMinus1YearAmt
Current Tax Year$56,806CurrentTaxYearAmt
Total$72,329TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,114,286CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$164,870,197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$178,081,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,014,722CurrentTaxYearMinus1YearAmt
Current Tax Year$183,916,077CurrentTaxYearAmt
Total$855,996,919TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,114,286CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$164,870,197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$178,081,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,030,245CurrentTaxYearMinus1YearAmt
Current Tax Year$183,972,883CurrentTaxYearAmt
Total$856,069,248TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$856,069,248PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,567CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,515CurrentTaxYearMinus1YearAmt
Current Tax Year$27,504CurrentTaxYearAmt
Total$123,036TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,182CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,567CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,515CurrentTaxYearMinus1YearAmt
Current Tax Year$27,504CurrentTaxYearAmt
Total$123,036TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,131,468CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$164,887,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$178,112,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,060,760CurrentTaxYearMinus1YearAmt
Current Tax Year$184,000,387CurrentTaxYearAmt
Total$856,192,284TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,977,315OtherCostOrOtherBasisAmt
Book Value$1,977,315BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,151,283OtherCostOrOtherBasisAmt
Depreciation$7,328,116DepreciationAmt
Book Value$6,823,167BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,630,457OtherCostOrOtherBasisAmt
Depreciation$9,647,617DepreciationAmt
Book Value$8,982,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,783,322TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Other Assets$2,635,694
Other Receivables$1,244,357
Deferred Pension Outflows$29,599
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,909,650TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Reserve for Professional Liability$4,031,405
Deferred Pension Inflows$35,836
Other liability$46,184
FieldValueIRS element (for citing)
Total Liability$4,113,425TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationVidant Medical Group has been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Vidant Medical Gruop has reviewed its tax positions for all open years and has concluded that no material liabilities exist as of September 30, 2019 and 2018. Vidant Medical Group files tax returns with the U.S. federal jurisdiction. With few exceptions, Vidant Medical Group is no longer subject to U.S. federal examinations by tax authorities for years before 2016.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael Waldrum MD
CEO$0$1,143,540$0$0$0$11,659$0$175,115$0$43,796$0$1,374,110$0$0
Jay Briley
President Of VCom$0$313,931$0$0$0$0$0$76,017$0$35,683$0$425,631$0$0
David Hughes
Treasurer$0$522,510$0$0$0$2,025$0$1,433,650$0$37,766$0$1,995,951$0$0
William Floyd
President Of VMC$0$531,518$0$0$0$810$0$406,335$0$40,664$0$979,327$0$0
Anthony Bartholomew
VP, of Operations$219,397$0$0$0$0$0$22,342$0$23,700$0$265,439$0$0$0
Daniel Drake PHD
President of VMG$252,366$0$0$0$0$0$108,733$0$40,684$0$401,783$0$0$0
Manjunath Markandaya
Physician$1,109,581$0$43,500$0$0$0$0$0$33,145$0$1,186,226$0$0$0
Richard Dalyai
Physician$1,046,758$0$47,962$0$0$0$0$0$37,045$0$1,131,765$0$0$0
Aaron Danison
Physician$981,923$0$47,826$0$0$0$0$0$32,570$0$1,062,319$0$0$0
Hilal Kanaan
Physician$913,876$0$60,423$0$0$0$0$0$40,880$0$1,015,179$0$0$0
Kenneth Lee
Physician$842,471$0$47,486$0$0$0$0$0$34,540$0$924,497$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aAll compensation and reimbursement listed for such items are paid at the Vidant Health entity, and the written policy and adherence to the policy is maintained at VH.
Part I, Line 3The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. All compensation discussions and actions are documented and approved in the minutes of the Committee.
Part I, Line 4As of January 1, 2013, the supplemental nonqualified retirement plan was frozen and no further amounts have accrued to its benefit. In lieu of the SERP, the comprehensive defined benefit pension plan will provide an equivalent benefit. The increase in the value of such plans is reflected in the sum of Part II, Column (C). On May 3, 2018 an amendment was adopted in the non-vesting supplemental executive retirement plan (SERP) that effectively transferred the frozen SERP benefits for the remaining 10 active participants to the qualified pension plan to the extent permitted by IRS limits. This resulted in an increase in the reported deferred compensation for these 10 executives. The deferred compensation reported for the two officers of the company, in part, represent the amounts transferred to their qualified pension plan that was earned over and related to their years of service to the Organization of 14 and 22 years.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6University Health Systems of Eastern Carolina, Inc. ("Vidant Health") is the sole corporate member of Vidant Medical Group, LLC.
Form 990, Part VI, Section A, line 7aAs the corporate member, Vidant Health shall have the responsibility to elect or appoint the seven individual voting members of Vidant Medical Group, LLC.
Form 990, Part VI, Section A, line 7bThe rights reserved to the corporate member include the rights of: a. Selling, leasing or otherwise disposing of, or agreeing to sell, lease or otherwise dispose of, all or substantially all of the assets of Vidant Medical Group, LLC; b. Winding up, dissolving, liquidating, reorganizing, or otherwise terminating the existence of Vidant Medical Group, LLC; c. Merging or consolidating Vidant Medical Group, LLC with or into any other entity or converting into any other type of entity; d. Amending the Articles of Organization or Operating Agreement, and; e. Admitting additional Members or issuing additional Membership Interests.
Form 990, Part VI, Section B, line 11bThe Board Member is provided a copy of the return for review prior to filing. The return is also reviewed by the Chief Financial Officer, Chief General Counsel and the Chief Audit and Compliance Officer of University Health Systems of Eastern Carolina, Inc. (D/B/A Vidant Health) prior to filing with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12cAs described in the Conflict of Interest policy maintained by VH, all Officers, Board Members and Key Employees are required to complete a yearly comprehensive conflict of interest questionnaire. These are reviewed by legal counsel and any potential or actual conflicts are brought to the Board for disposition. Board Members are instructed to report any potential conflicts arising during the year for review. Board Members are required to recuse themselves from voting on issues in which they are deemed to have a conflict.
Form 990, Part VI, Section B, line 15The compensation is determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every year. Compensation of other officers and key employees is also determined by the Compensation and Benefits Committee of the VH Board using comparative data from like organizations and input from consultants. This process is performed every year. All compensation discussions and actions are documented and approved in the minutes of the Committee.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d).
Form 990, Part IX, line 11gPurchased Services: Program service expenses 55,868,767. Management and general expenses 2,485,909. Fundraising expenses 0. Total expenses 58,354,676.
Form 990, Part XI, line 9:Net Asset Transfer 78,200,676.
Form 990, Part XII, Line 2CThis process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Vidant Medical Group Affiliates LLC
2100 Stantonsburg RdGreenvilleNC27835472875992HealthcareNC$0$0Vidant Medical Group LLC
Tarboro Endoscopy Center LLC
201 Clinic DrTarboroNC27886271345858HealthcareNC$0$0Vidant Medical Group LLC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
University Health Systems Of Eastern Carolina DBA Vidant Health
2100 Stantonsburg RdGreenvilleNC27835562141073HealthcareNC501(c)(3)Line 12c, III-FIN/A0
Pitt County Memorial Hospital Inc DBA Vidant Medical Center
2100 Stantonsburg RdGreenvilleNC27835560585243HospitalNC501(c)(3)Line 30Vidant Health
The Outer Banks Hospital Inc
2100 Stantonsburg RdGreenvilleNC27835562112733HospitalNC501(c)(3)Line 30East Carolina Health
PCMH Management Inc DBA Vidant Properties
2100 Stantonsburg RdGreenvilleNC27835561690740Medical Property ManagementNC501(c)(2)0Vidant Health
East Carolina Health Inc DBA Vidant Community Hospitals - Central
2100 Stantonsburg RdGreenvilleNC27835562003393HospitalNC501(c)(3)Line 30Vidant Health
HealthAccess Inc
2100 Stantonsburg RdGreenvilleNC27835561396133HealthcareNC501(c)(3)Line 12b, II0Vidant Health
East Carolina Health-Bertie DBA Vidant Bertie Hospital
2100 Stantonsburg RdGreenvilleNC27835562072002HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Chowan DBA Vidant Chowan Hospital
2100 Stantonsburg RdGreenvilleNC27835562101090HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Heritage DBA Vidant Edgecombe Hospital
2100 Stantonsburg RdGreenvilleNC27835562093700HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health-Beaufort DBA Vidant Beaufort Hospital
2100 Stantonsburg RdGreenvilleNC27835452436270HospitalNC501(c)(3)Line 30Vidant Health
Duplin General Hospital DBA Vidant Duplin Hospital
2100 Stantonsburg RdGreenvilleNC27835566011594HospitalNC501(c)(3)Line 30Vidant Health
East Carolina Health Inc DBA Vidant Roanoke-Chowan Hospital
2100 Stantonsburg RdGreenvilleNC27835264634725HospitalNC501(c)(3)Line 30Vidant Health
Pungo District Hospital Corporation DBA Vidant Pungo Hospital
2100 Stantonsburg RdGreenvilleNC27835560518757HospitalNC501(c)(3)Line 30Vidant Health
Access East Inc
2410 Stantonsburg Rd Stanton SquareGreenvilleNC27834561949493HealthcareNC501(c)(3)Line 100Vidant Health
Roanoke Valley Health Services Inc
2100 Stantonsburg RdGreenvilleNC27835561925492HealthcareNC501(c)(3)Line 30Vidant Health
Halifax Regional Medical Center Inc
2100 Stantonsburg RdGreenvilleNC27835560989789HospitalNC501(c)(3)Line 30Vidant Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd